1. Building Healthier Hearts Ireland’s Cardiovascular Strategy A Presentation by Chris Fitzgerald March 2005

2. Background Rates of Heart Disease in Ireland Incidence and Survival rates Lifestyle factors and inequalities Building Healthier Hearts published July 1999

3. Cardiovascular Health Strategy 211 recommendations Reduce the risk Detect those at high risk Treat effectively Best survival and quality of life outcome for those who recover heart attack.

4. Implementing Structures National and Regional Heart Health Taskforce Advisory Forum Regional Committees NCIS Heartwatch Sudden Cardiac Death Taskforce

5. EUR 60 million in Five years

6. Almost 800 Staff recruited

7. Achievements New Services Heartwatch Cardiac rehab First responders Health promotion Chest Pain Clinics Existing Services Detection up 47% Investigations up 200% 24% drop in waiting lists Services nearer people

8. How Far Have We Travelled? 6 out of 10 recommendations have been implemented

9. Health Promotion Media Campaign ‘Ireland needs a change of Heart’ 26 additional Smoking Cessation Officers All Island campaign ‘Get a Life, Get Active’ 36 additional community dietitians Physical activity coordinators GP exercise referral

10. Primary Care 55 Recommendations Heartwatch NRT for GMS patients Purchase of Equipment Training Recruitment of PHNs and dietitians

11. Pre Hospitals 18 Recommendations Pre Hospital emergency Care Council Defibrillators and other equipment Staff training First responder schemes to target geographically disadvantages Sudden Cardiac Death Taskforce

12. Hospitals 46 Recommendations Staffing and equipment levels enhanced Staffing -Resuscitation Posts -Technicians -Nursing - 19 Consultant Cardiologists since 1999.

13. Hospitals Services Pacemaker Service, Chest Pain Assessment Facilities Increased non- invasive and invasive diagnosis procedures

14. Cardiac Rehabilitation 10 Recommendations Career Structure for cardiac rehabilitation co- ordinators Many boards developed cardiac rehabilitation service Phase 1 and 2 cardiac rehabilitation is now provided in most hospitals

15. Information Systems, Audit and Research NCIS CHAIR Heartwatch

16. EU Presidency 2004  “Promoting Heart Health – a European Consensus” – 24/25/26 February 2004 in Maryborough House Hotel, Cork  CARDS Conference – 10/11 May 2004 in Hayfield Manor Hotel and UCC, Cork

17. Ultimate Objective Achieved Consensus Document was endorsed by the Health Ministers in June 2004

18. Building Healthier Hearts The Way Forward

19. Continuity (reform programme) Continue to resource Finish the job! Embed implementation structures in new arrangements